Brachial Approach As an Alternative Technique of Fibrin Sheath Removal for Implanted Venous Access Devices.

Détails

Ressource 1Télécharger: fsurg-04-00020.pdf (2709.45 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_FC516B9E4FF8
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Brachial Approach As an Alternative Technique of Fibrin Sheath Removal for Implanted Venous Access Devices.
Périodique
Frontiers in surgery
Auteur(s)
Sotiriadis C., Hajdu S.D., Doenz F., Qanadli S.D.
ISSN-L
2296-875X
Statut éditorial
Publié
Date de publication
2017
Peer-reviewed
Oui
Volume
4
Pages
20
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Implanted venous access device (IVAD) late dysfunction is commonly caused by fibrin sheath formation. The standard method of endovascular fibrin sheath removal is performed via the femoral vein. However, it is not always technically feasible and sometimes contraindicated. Moreover, approximately 4-6 h of bed rest is necessary after the procedure. In this article, we describe an alternative method of fibrin sheath removal using the brachial vein approach in a young woman receiving chemotherapy for breast cancer. The right basilic vein was punctured, and a long 6°F introducer sheath was advanced into the right subclavian vein. Endovascular maneuvers consisted on advancing Atrieve™ Vascular Snare 15-9 mm after catheter insertion in the superior vena cava through a 5.2°F Judkins left catheter. IVAD patency was restored without any complication, and the patient was discharged immediately after the procedure. In conclusion, fibrin sheath removal from an obstructed IVAD could be performed via the right brachial vein. Further research is necessary in order to prove efficacy of this technique.

Pubmed
Open Access
Oui
Création de la notice
29/04/2017 16:29
Dernière modification de la notice
20/08/2019 17:27
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